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Evaluation of upper extremity motor function tests in tetraplegics
J H van Tuijl1, Y J M Janssen-Potten, H A M Seelen
1Institute for Rehabilitation Research, Hoensbroek, The Netherlands.
Spinal Cord
|April 5, 2002
Summary
This review offers an overview of arm-hand function tests for individuals with tetraplegia. Careful selection based on desired outcomes and psychometric properties ensures appropriate assessment of upper extremity function.
Area of Science:
- Rehabilitation Medicine
- Neuroscience
- Clinical Assessment
Background:
- Tetraplegia significantly impacts arm-hand function, necessitating reliable assessment tools.
- Evaluating upper extremity motor capabilities is crucial for rehabilitation planning and outcome measurement in tetraplegic individuals.
Purpose of the Study:
- To present a comprehensive overview of available arm-hand function tests for tetraplegic subjects.
- To provide guidance on selecting the most appropriate assessment tool based on specific research or clinical needs.
Main Methods:
- A systematic literature search of Medline (1967-2001) was performed.
- Included studies focused on strength, general functional, and activities of daily living (ADL) tests.
- Consideration was given to tests in English or Dutch, including those specifically for tetraplegia.
Main Results:
- The review identifies four types of strength tests.
- Ten general and five specific functional tests are detailed.
- Eight ADL tests relevant to tetraplegic populations are presented.
Conclusions:
- A wide array of tests exists for assessing upper extremity function in tetraplegia.
- Test selection should prioritize the outcome of interest and the test's psychometric properties (reliability, validity, sensitivity).
- Gathering psychometric data is essential if it is not readily available for a chosen test.